Intimacy, Sexuality and Sexual Behavior in Dementia
Intimacy, Sexuality and Sexual Behavior in Dementia
Intimacy, Sexuality and Sexual Behavior in Dementia
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<strong><strong>Sexual</strong>ity</strong> Guide 24<br />
some responses that will make you uncomfortable, plan how you will respond.<br />
Front-l<strong>in</strong>e workers will be concerned about the specific responses they should<br />
use when they observe sexual behaviours <strong>and</strong> the ethics of protect<strong>in</strong>g residents<br />
who are vulnerable to exploitation by others. Adm<strong>in</strong>istrators, managers <strong>and</strong><br />
family members will also be concerned with protect<strong>in</strong>g residents’ rights.<br />
Facilitators can turn any comments to the group for their reaction or can offer<br />
their own perspective (or both).<br />
Sample 60 M<strong>in</strong>ute Session Plan<br />
00 – 10 Welcome, Introductions<br />
Purpose <strong>and</strong> plan for session<br />
10 – 20 <strong><strong>Sexual</strong>ity</strong> quiz h<strong>and</strong>out (Appendix E) <strong>and</strong> brief discussion on results<br />
Use this to discuss beliefs, values, biases of those present<br />
Ask the group to discuss how they see these apply<strong>in</strong>g to residents<br />
with dementia<br />
20 – 50 Show videotape “The Heart Has No Wr<strong>in</strong>kles” or “Freedom of<br />
<strong>Sexual</strong> Expression: <strong>Dementia</strong> <strong>and</strong> Resident Rights <strong>in</strong> Long-Term<br />
Care Facilities” (see Appendix A)<br />
Take a few m<strong>in</strong>utes after the view<strong>in</strong>g to ask people how they felt<br />
about the video<br />
Use this as spr<strong>in</strong>gboard to help staff identify how they could change<br />
their practice <strong>in</strong> response to sexual behaviour <strong>in</strong> dementia<br />
Record ideas you get from the video <strong>and</strong> practice changes<br />
identified dur<strong>in</strong>g discussion about sexuality on flip chart<br />
50 – 60 Discuss how identified <strong>in</strong>terventions could be <strong>in</strong>corporated <strong>in</strong>to<br />
practice guidel<strong>in</strong>es <strong>and</strong> circulate <strong>in</strong> form of newsletter or m<strong>in</strong>utes for<br />
staff not able to attend<br />
Other activity ideas<br />
• Divide participants <strong>in</strong>to small groups, ask them to record their<br />
values <strong>and</strong> beliefs about sexual expression <strong>in</strong> dementia <strong>and</strong> report<br />
back to larger group.<br />
• Take <strong><strong>Sexual</strong>ity</strong> <strong>and</strong> <strong>Intimacy</strong> Worksheet (Appendix C) <strong>and</strong> discuss<br />
a specific case that all participants are familiar with.<br />
• Use the discussion guide attached to the videotape to help staff<br />
identify issues related to sexual expression <strong>in</strong> the nurs<strong>in</strong>g home.<br />
Both “Heart has No Wr<strong>in</strong>kles” <strong>and</strong> “Freedom of <strong>Sexual</strong> Expression”<br />
has excellent discussion guides <strong>in</strong> the video package.<br />
24
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